Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $8,709.64	Facility		$1,071.52	$1,737.80	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,290.87	Facility		$1,071.52	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $21,877.62 / $28,840.32	Facility		$9,549.93	$21,877.62	$28,840.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $19,498.45 / $19,498.45	Facility		$56.23	$19,498.45	$19,498.45
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	AS	$1,949.84	$1,949.84	$1,949.84